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UM Specialist - Work at home, Mountain or Pacific Time only

Description
The UM Specialist contributes to administration of utilization management. The UM Specialist performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Responsibilities
Role: UM Specialist
Assignment: Medicare
Location: Work at Home, Mountain or Pacific Time Residence required
Ideal Skillset
Preferred applicants will have a clerical support background, possess excellent phone etiquette, communication skills and demonstrate proficiency with MS Office products; particularly Word, Excel and Outlook. Hours for this position will be an 8 hour shift between the hours of 7 am and 6 pm Mountain or Pacific Time, Monday - Friday.
Key Responsibilities:
Attaching faxes for chart reviews for the nursing team
Answering departmental phones as assigned
Make outbound calls to engage members and/or providers to verify clinical information/discharge date and admission status
Document calls and attach clinical information received
Request clinical information from providers/facilities
Create and send out written correspondence
Collaborate with multiple roles/departments/providers/team members
Role Essentials
Mountain or Pacific Time residency
High School Diploma
Proficiency in all Microsoft Office applications, including Word, Excel and Outlook
Exceptional phone etiquette
Excellent communication skills, both verbal and written
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance for Humana systems is 10Mx1M
Ability to provide a designated workspace; free from distractions with the ability to secure any protected information.
Role Desirables
Clerical support background in a healthcare environment
Familiarity with medical terminology and/or ICD-10 codes
Experience working in a call center environment a plus
Scheduled Weekly Hours
40

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